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Huge Gastric Teratoma in an 8-Year Old Boy
Rajpal S Sisodiya1, Simmi K Ratan1, Parveen K Man1
1Department of Pediatric Surgery, Maulana Azad Medical College and associated Lok Nayak Hospital, New Delhi-110002.
Insights
A rare gastric teratoma, a type of tumor, was found in an 8-year-old boy. This case highlights the unusual delayed presentation of this rare pediatric tumor.
Area of Science:
- Pediatric Surgery
- Oncology
- Gastroenterology
Background:
- Gastric teratomas are exceptionally rare tumors, typically diagnosed in early infancy.
- Delayed presentation of gastric teratomas beyond infancy is uncommon.
Observation:
- An 8-year-old male presented with a large abdominal mass extending from the epigastrium to the pelvis.
- Abdominal ultrasound and CT scans revealed a complex mass with solid, cystic, and calcified components.
- Preoperative imaging suggested a teratoma, but not specifically a gastric origin.
Findings:
- Surgical exploration confirmed the mass as a gastric teratoma.
- The mature gastric teratoma was completely excised along with a portion of the stomach wall.
- Histopathological examination verified the diagnosis of a mature gastric teratoma.
Implications:
- This case underscores the importance of considering gastric teratoma in the differential diagnosis of abdominal masses in children, even with delayed presentation.
- The successful surgical management demonstrates the feasibility of complete resection.
- Reporting such rare occurrences aids in understanding the clinical spectrum and management of gastric teratomas.
Abstract:
Gastric teratoma is very rare tumor and usually presents in early infancy. An 8-year-old boy presented with a huge mass in abdomen extending from epigastrium to the pelvis. Ultrasound and CT scan of abdomen revealed a huge mass with solid and cystic components and internal calcifications. The preoperative diagnosis was a teratoma but not specifically gastric one. At operation, it was found to be gastric teratoma. The mass was excised completely with part of the stomach wall. The histopathology confirmed it to be mature gastric teratoma. The rarity of the teratoma with delayed presentation prompted us to report the case.